<include file="Public:header"/>
<link href="__PUBLIC__/Catalog/css/addBank.css" rel="stylesheet" type="text/css" />
</head>
<body>
<div class="main">
   <div class="title">
         <div class="title1">
             <a href="{$back}" id="back"> < </a>绑定银行卡
         </div>
   </div>
   <div class="reg">
        <div class="reg2">
        	<form action="{:U('Membership/bindbank')}" method="post">
        		<input type="hidden" name="back" value="{$back}"/>
        		<ul>
	               <li><span class="sp_p1">开启姓名</span> <span class="sp_p2"><input type="text" name="bank_uname" value="{$member.name}" placeholder="如:何晓晓" required/></span></li>
	               <li><span class="sp_p1">开启银行</span> <span class="sp_p2"><input type="text" name="bank_name" placeholder="如:中国建设银行" required/></span></li>
	               <li><span class="sp_p1">开启地址</span> <span class="sp_p2"><input type="text" name="bank_address" placeholder="如:广州市白云区黄边北路支行" required/></span></li>
	               <li><span class="sp_p1">银行卡号</span> <span class="sp_p2"><input type="text" name="bank_num" placeholder="请输入完整的银行卡卡号" required/></span></li>
	               <li style="margin-top: 10px; border:none;"><p style="color:red; font-size:14px; line-height:15px;">注:绑定成功后将会成为该账户唯一结算的银行卡，不能再次修改，请确认绑定信息</p></li>
	               <li id="sub"><input type="submit" value="确定绑定" /></li>
	            </ul>
        	</form>
  
        </div>
   </div>
</div>
</body>
</html>
